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Prelabour uterine rupture: Characteristics and outcomes

BJOG: An International Journal of Obstetrics and Gynaecology Jul 28, 2020

Al‐Zirqi I, et al. - Researchers sought to inscribe the characteristics and outcomes of prelabour uterine ruptures via assessing population data from the Medical Birth Registry of Norway, the Patient Administration System and medical records. They identified reports of 8 complete ruptures among 2,334,712 women with unscarred uteri, and 22 complete and 45 partial ruptures among 121,085 women with scarred uteri in Norway during the period 1967–2008. In women with unscarred uteri, the eight complete ruptures were linked with trauma from traffic accidents ( = 3; 37.5%), previous curettage ( = 3; 37.5%) and congenital uterine malformations ( = 2; 25%), resulting in seven perinatal deaths and two hysterectomies. Observations suggest rare occurrence of complete uterine ruptures before labor start, their occurrence, however, resulted in catastrophic outcomes frequently, such as perinatal death. A higher percentage of catastrophic prelabour ruptures was observed in correlation with scars outside the lower segment compared with scars in the lower segment.

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